Smith Sharon L, Price Michelle A, Fabian Timothy C, Jurkovich Gregory J, Pruitt Basil A, Stewart Ronald M, Jenkins Donald H
*National Trauma Institute, San Antonio, Texas †University of Tennessee Health Science Center, Memphis, Tennessee ‡University of California-Davis, Davis, California §University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Shock. 2016 Sep;46(3 Suppl 1):37-41. doi: 10.1097/SHK.0000000000000678.
Despite being the leading cause of death in the United States for individuals 46 years and younger and the primary cause of death among military service members, trauma care research has been underfunded for the last 50 years. Sustained federal funding for a coordinated national trauma clinical research program is required to advance the science of caring for the injured. The Department of Defense is committed to funding studies with military relevance; therefore, it cannot fund pediatric or geriatric trauma clinical trials. Currently, trauma clinical trials are often performed within a single site or a small group of trauma hospitals, and research data are not available for secondary analysis or sharing across studies. Data-sharing platforms encourage transfer of research data and knowledge between civilian and military researchers, reduce redundancy, and maximize limited research funding. In collaboration with the Department of Defense, trauma researchers formed the Coalition for National Trauma Research (CNTR) in 2014 to advance trauma research in a coordinated effort. CNTR's member organizations are the American Association for the Surgery of Trauma (AAST), the American College of Surgeons Committee on Trauma (ACS COT), the Eastern Association for the Surgery of Trauma (EAST), the Western Trauma Association (WTA), and the National Trauma Institute (NTI). CNTR advocates for sustained federal funding for a multidisciplinary national trauma research program to be conducted through a large clinical trials network and a national trauma research repository. The initial advocacy and research activities underway to accomplish these goals are presented.
尽管创伤护理是美国46岁及以下人群的主要死因，也是军人的首要死因，但在过去50年里，创伤护理研究的资金一直不足。需要联邦政府持续提供资金，以开展一个协调一致的国家创伤临床研究项目，从而推动创伤护理科学的发展。美国国防部致力于资助与军事相关的研究；因此，它无法资助儿科或老年创伤临床试验。目前，创伤临床试验通常在单个地点或一小群创伤医院内进行，研究数据无法用于二次分析或跨研究共享。数据共享平台鼓励民用和军事研究人员之间的研究数据和知识转移，减少冗余，并最大限度地利用有限的研究资金。2014年，创伤研究人员与美国国防部合作，成立了国家创伤研究联盟（CNTR），以协同推进创伤研究。CNTR的成员组织包括美国创伤外科学会（AAST）、美国外科医师学会创伤委员会（ACS COT）、东部创伤外科学会（EAST）、西部创伤协会（WTA）和国家创伤研究所（NTI）。CNTR主张联邦政府持续提供资金，以通过一个大型临床试验网络和一个国家创伤研究资料库开展一个多学科的国家创伤研究项目。本文介绍了为实现这些目标而正在开展的初步宣传和研究活动。
